{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T14:29:50Z","timestamp":1772720990565,"version":"3.50.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To clarify the impact of orthopaedic surgery on the quality of life (QOL) in patients with rheumatoid arthritis (RA), by comparing surgical cases with matched non-surgical controls using multicenter data from the Fukuoka Rheumatoid Arthritis NetworK (FRANK) registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted using FRANK registry data (2018\u20132022). Sixty-three surgical cases and non-surgical controls were analysed after propensity score matching for age, sex, disease duration, disease activity, and medication. Changes in disease activity (DAS28-ESR), activities of daily living (modified health assessment questionnaire), and QOL (EuroQol 5-Dimensional Questionnaire, EQ-5D) over 1 year were compared using paired and independent t-tests. Regression analyses identified predictors of QOL improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of patients were in low disease activity (DAS28-ESR\u2009&amp;lt;\u20093.2). The surgical group showed a statistically significant improvement in EQ-5D (+0.04; P\u2009&amp;lt;\u20090.05), while no change was observed in the non-surgical group. Lower preoperative EQ-5D was the predictor of improvement. Mobility and anxiety\/depression domains contributed most to QOL gains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Orthopaedic surgery significantly improves QOL in RA patients, even in those with a low DAS-ESR28. Patients with lower baseline QOL benefit most. These findings support the importance of surgical intervention as a complementary strategy in holistic RA management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roaf078","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T13:19:54Z","timestamp":1763731194000},"page":"211-217","source":"Crossref","is-referenced-by-count":0,"title":["Impact of orthopaedic surgery on quality of life in patients with rheumatoid arthritis: a retrospective study using the FRANK (Fukuoka rheumatoid arthritis Network) registry"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9643-7395","authenticated-orcid":false,"given":"Ryosuke","family":"Tsurui","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University , Fukuoka 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,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Kamo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Japanese Red Cross Yamaguchi Hospital , Yamaguchi ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihisa","family":"Haraguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Japanese Red Cross Yamaguchi Hospital , Yamaguchi ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3142-7889","authenticated-orcid":false,"given":"Akira","family":"Maeyama","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, Fukuoka University , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Ayano","sequence":"additional","affiliation":[{"name":"Department of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3666-3952","authenticated-orcid":false,"given":"Yukio","family":"Akasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9381-9696","authenticated-orcid":false,"given":"Toshifumi","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinkichi","family":"Arisumi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keitaro","family":"Yasumoto","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University , Fukuoka ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Natori","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, 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